NPIMap

Individual provider Active NPI

Kristen Brady, PA

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1114445079
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4777 E Galbraith Rd Ste 320
Cincinnati, OH 45236-2725
Phone
(513) 751-2273
NPI assigned
Aug 31, 2017
Last updated
Apr 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

4777 E Galbraith Rd Ste 320
Cincinnati, OH 45236-2725

Mailing address

5053 Wooster Rd
Cincinnati, OH 45226-2326
Phone (513) 751-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristen.brady@ohc.ikm.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171026003087 OH Practitioner - Physician Assistant 4183990708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology Care IncGroup PAC ID 8921910373, 63 clinicians

Practice addresses (Care Compare)

3301 Mercy Health Blvd
Suite 100
Cincinnati, OH 45211-1104
Phone (513) 751-2273

4777 E Galbraith Rd
Suite 1
Cincinnati, OH 45236-2725
Phone (513) 751-2273

601 Ivy Gateway
Suite 1
Cincinnati, OH 45245-1898
Phone (513) 751-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Care, Inc. CurrentSince Sep 12, 2017 Accepting new patients
Oncology Hematology Care Inc Multi-Specialty CurrentSince Sep 12, 2017 Accepting new patients
Oncology-Hematology Care Inc Multi-Specialty Past Accepting new patients
Oncology/ Hematology Care, Inc. Multi-Specialty Past Accepting new patients
Oncology/ Hematology Care, Inc. Multi-Specialty Past Accepting new patients

Locations

3301 Mercy Health Blvd
Ste 100
Cincinnati, OH 45211
Phone (513) 312-3532

4777 E Galbraith Rd
Ste 320
Cincinnati, OH 45236

5053 Wooster Rd
Cincinnati, OH 45226
Phone (513) 751-2145

Interoperability endpoints

  • Direct secure messaging: kristen.brady@ohc.ikm.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1114445079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 WOOSTER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452262326",
            "telephone_number": "513-751-2273",
            "fax_number": "513-751-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 E GALBRAITH RD STE 320",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362725",
            "telephone_number": "513-751-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "KRISTEN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen.brady@ohc.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4777 E Galbraith Rd Ste 320",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452362725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.